Ingabe ucabangela ukuhlinzeka nge-bariatric? Kunezinqubo eziningi ezihlukahlukene ongakhetha kuzo, njenge-overpass ye-gastric, i-lap band noma ukwelashwa okusha kwesisu. Kodwa ukhetha ukuhlinzwa ukuhlinzwa kwesisindo kuyisinyathelo esikhulu okufanele uhlolisise ngosizo oluvela kudokotela wakho. Ngaphambi kokuya ehhovisi lohlinzayo, kunezinto ezimbalwa okufanele uzicabange ngazo. Ukuhlinzwa kweBariatric akuwona wonke umuntu.
Kukhona izingozi zokucubungula, ukucabangela kwezezimali okucabangayo mayelana nezindaba zezokwelapha okufanele uzicabangele.
Izimpendulo zale mibuzo eyisisekelo zizokusiza ukuthi unqume ukuthi ukuhamba kwenqubo ye-bariatric kuyindlela ehlakaniphile kakhulu ekuhambeni kwakho kwesisindo.
Iyini i-BMI yami?
Uma ungazi umthamo womzimba wakho we-body (BMI), ungasebenzisa lokhu wokubala okuxhumeke ku-intanethi ukuze uyithole noma uyihlolisise ihhovisi lakho lomhlinzeki wezempilo. Uma usunayo inombolo yakho, ungayisebenzisa njengendawo yokuqala ukubona ukuthi ukuhlinzeka kungakulungela wena.
Uma i-BMI yakho ingaphezu kuka-40, izinhlangano eziningi zezokwelapha zincoma ukuthi ukuhlinzwa kokulahlekelwa isisindo kungaba yindlela enengqondo uma unempilo ngokwanele ukuze uqhubeke nenqubo. Uma i-BMI yakho ineminyaka engama-35 noma ngaphezulu, ungase ube ngumuntu omele ukhetho lokuhlinzwa uma okungenani unesimo sezokwelapha esisodwa esithinta ukukhuluphala. Futhi uma i-BMI yakho ingaphezu kuka-30 futhi impilo yakho nayo igxilwe yisifo sikashukela noma isifo se-metabolic ungase ufune ukukhuluma nodokotela wakho ngokuhlinzeka nge-bariatric.
"Kubantu abaningi, i-BMI ye-30 iyisici," kusho uDkt. Ninh T. Nguyen, MD, owayenguMongameli we-American Society ye-Metabolic and Bariatric Surgery (ASMBS). Uphakamisa ukuthi uma abantu befinyelela ku-index mass mass of 30, bangacabangela ukuhlinzwa nge-bariatric uma ezinye imizamo yokulahlekelwa isisindo ihlulekile.
Ingabe Nginakho Izimo Eziphathelene Nezokwelapha Ezihlobene Nesisindo?
Isisindo esiningi singabangela noma sivuselele izimo zezokwelapha ezifana nesifo sikashukela, i-apnea yokulala, i-cholesterol ephakeme, isifo senhliziyo nokucindezela kwegazi eliphezulu . Kwezinye izimo, lezi zimo zingakwenza ube ngumuntu omele ukhetho lokuhlinzwa kwesisindo. Kodwa kwezinye izimo, zingathinta ikhono lakho lokumelana nenqubo yokuhlinza. Udokotela wakho uzokwazi ukukutshela kabanzi ngokuthi isimo sakho siyothinta kanjani inqubo.
Ngabe ngazama ezinye izinhlelo zokulahlekelwa kwesisindo?
Ukuhlinzwa kungaba yindlela enhle uma ezinye izindlela zokulahlekelwa isisindo zihlulekile. Uke wazama ukwehlisa isisindo ngokudla nokuzivocavoca? Ezinye izinkampani zomshuwalense zizohlanganisa kuphela izindleko zenqubo uma uzame izindlela zendabuko zokulahlekelwa isisindo okungenani izinyanga eziyisithupha.
Ngilungele Ukushintsha Indlela Yami Yokuphila?
Ukuhlinzwa kokulahlekelwa kwesisindo akulona umlingo womlingo. Uma ukhetha ukuhlinzwa, kuzodingeka ushintshe ukudla nokudla kwakho . Iziguli ezinempumelelo enkulu kakhulu ngokuhlinzeka nge-bariatric zithatha imikhuba yokudla nokuzivocavoca ngokulinganisela ukuze kugcinwe isisindo sayo isikhathi eside.
UDkt. Nguyen uthi indlela yokuphila ishintsha emva kokuhlinzwa ingaba yingxenye eyinkimbinkimbi yenqubo yokutakula.
Njengengxenye yenqubo yokulungiselela, uyala iziguli zakhe ngokubaluleka kokuqonda izinguquko zomzimba, ngokomzwelo, ezenhlalo ezingase zenzeke ngemuva kokuhlinzwa.
Ngabe Ngiphenya Izinhlobo Ezihlukahlukene Zokuhlinzwa Ezitholakalayo Endaweni Yami?
Kunezinqubo eziningana ezihlukene ezitholakalayo ezigulini ezikhetha ukuhlinzwa kwesisindo. I-roux-en-Y ye-gastric bypass (RYGB), i-laagoscopic bandable gingric banding (LAGB), kanye ne-laparoscopic sleeve gastrectomy yizinhlobo ezintathu ezivamile zokuhlinzwa. Inqubo ngayinye inezingozi nezinzuzo ezahlukene. Kufanele uthole kabanzi mayelana nenqubo ngayinye ngaphambi kokukhetha eyodwa.
Ingabe Umshuwalense Uyovala Imali Yami?
Ukufakwa komshuwalense kuyahlukahluka ngumhlinzeki. Uzofuna ukuphenya ukuhlinzekwa kwakho kokuhlinzwa kokuqala kanye nanoma yikuphi ukuhlinzwa okuzayo kungenzeka ngaphambi kokutshala isikhathi esiningi kakhulu ucabangela ukuhlinzwa. Ngokombiko owodwa, iziguli ezingu-25% ezicubungula ukuhlinzwa zavinjelwa ukukhishwa kathathu ngaphambi kokugcina ukuthola imvume.
Ngingakwazi Ukuhlinza Ngokuhlinzwa Ngaphambi Kokuhlinzwa Nezokwelapha Eziqhubekayo Uma Ziba Nesidingo?
Uma ngabe umshuwalense wakho awukhokheli ukuhlinzwa, noma uma ukhokha kuphela ingxenye yenqubo, ulungele ukufaka izindleko ezengeziwe? Ukuhlinzwa kweBariatric kudinga isilinganiso samaRandi ayi-11 500 kuya ku-26,000. Ukubuyekezwa kokuhlinzwa, uma kunesidingo, kungabiza u-$ 5,000 kuya ku-$ 10,000.
Ingabe Ngizoqhubeka Ngifinyelela Ekunakekelweni Kwezokwelapha?
Ukuhlinzwa okuningi kudinga ukuthi uqhubeke nokubona udokotela wakho ukuqapha impilo yakho eminyakeni elandela ukwelashwa. Udokotela wakho uzoqapha ukulahlekelwa kwesisindo sakho, kepha angabuye ahlele imithi uma kunesidingo, anikeze izincomo ze-vitamin and mineral supplementation, futhi mhlawumbe akhombise ukulungiswa ekuhlinzekeni kwakho. Iziguli ezinezintambo zokuhlinza i-lap band, isibonelo, zingadinga ukuba nobukhulu bebhande ezilungiselelwe ukuhlangabezana nezidingo zabo zokulahlekelwa isisindo.
Ukuhamba ngaphansi kommese kuyisinqumo esikhulu futhi ukuzibophezela okukhulu. Sebenzisa le mibuzo njengengxenye yokuqala yokucubungula indlela yokuhlinzwa yokulahlekelwa isisindo. Uma wazi izimpendulo, qhubeka uthola izeluleko ezivela emithonjeni enokwethenjelwa, njengomhlinzeki wakho wezokwelapha, ohlinzayo ohlinzekwa yibhodi we-bariatric, kanye nabanye abantu abaye benza inqubo.
Imithombo:
Ukufinyelela Ekunakekelweni. Ukukhuluphala Kwama-Morbid & I-Metabolic and Bariatric Surgery Sheet Sheet. I-American Society ye-Metabolic & Bariatric Surgery. http://asmbs.org/
I-American Society ye-Metabolic & Bariatric Surgery. http://asmbs.org/
Ukuphatha Isiguli Esineziguli Ezinzima: Indlela Ehlanganisiwe. I-Allergan Lap Band System. Inkambo Yezemfundo Eqhubekayo. Julayi, 2011
I-American Society ye-Metabolic & Bariatric Surgery I-American Society ne-Bariatric Surgery. http://asmbs.org/
U-Nguyen, Ninh T., MD, uMongameli Oyingamele, i-American Society ye-Metabolic and Bariatric Surgery. Ingxoxo. NgoJulayi 16, 2012
I-Network Control Information Network. Ukuhlinzeka nge-Bariatric for Ukukhuluphala Okukhulu. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. http://win.niddk.nih.gov/publications/gastric.htm